Forging the FutureMedicaid Optimization Program
Load testing, telemetry, and automation that lifted throughput 70% while reducing infrastructure spend 30%.
Challenge
Keeping Medicaid access reliable during surge season
The state partner’s eligibility and payment platform served hundreds of thousands of residents, infrastructure migrations exposed brittle infrastructure and manual release practices. The result: slow determinations, frustrated constituents, and expensive war rooms.
We delivered a cross-functional tiger team to model realistic traffic, uncover cascading performance issues, and automate remediation so the program could scale confidently.
Impact snapshot
- 70% throughput lift on the most critical workflows.
- 30% infrastructure savings by right-sizing compute and storage tiers.
- Zero priority-one incidents during the subsequent enrollment period.
Bottleneck discovery
Synthetic load, soak, and chaos tests mapped how eligibility calculations, payment adjudication, and document generation behaved under load surges.
Observability everywhere
We wired application tracing, infra telemetry, and business KPIs into a single command center so executives could see user impact in real time.
Actionable playbooks
Capacity runbooks, cost-rightsizing guidance, and compliance-ready documentation ensured the state partner could sustain improvements long term.
What we delivered
- Performance lab with automated load/stress tests mapped directly to service-level objectives.
- Golden signals and KPIs pushed into a single pane of glass for business + engineering leadership.
- Modules to scale horizontally and rollback safely.
- Runbooks and tabletop exercises that trained engineering teams on capacity management best practices.